Medi-Cal & Food Stamps for Seniors and the Disabled


Comprehensive Services for Older AdultsHealth and Human Services Agency



 Medi-Cal & CalFresh for Seniors and the Disabled

  NEW! Beginning Jan. 7, Napa County’s Comprehensive Services for Older Adults (CSOA) program will extend its hours from 7 a.m. to 7 p.m. every Thursday, excluding holidays, at 650 Imperial Way, Suite 101, in Napa. The six-month pilot program is designed to provide an opportunity for clients and their representatives to bring in documentation and speak to an eligibility worker for more information about the MediCal and Calfresh programs. Bilingual assistance is also available. For Upvalley services during normal business hours from 8 a.m. to 5 p.m. on Fridays, visit the Calistoga Family Center at 1500 Cedar St. in Calistoga. For more information about the CSOA pilot program, call (707) 253-3818.

We offer screening and eligibility determination for seniors or disabled clients for the following programs: 

  • Medi-Cal - to pay for medical expenses not covered by Medicare or other health insurance 
  • Long-term Care Medi-Cal for those entering skilled nursing facilities 
  • Food Stamps 
  • Medicare Savings Programs - whether receiving SSI or not 

Medi-Cal Program Overview

Medi-Cal is health care coverage for qualifying persons who live in California and have income and resources below established limits. Services are based on Federal and State criteria, including income, resources, and household size. 

Who can get Medi-Cal?

Eligibility is determined based on certain qualifications, including resources, income, and residency in addition to the criteria of Aged, Blind, Disabled or have dependent children in the home whose parent(s) are unemployed, deceased, disabled or absent. 

For those who do not meet the above criteria, the County Medical Services Program (CMSP) may help in covering some of the medical expenses.  
 Age: 65 or older
 Disabled adults between 21 and 65 years of age
 Persons who are blind or disabled
 Pregnant women
 Persons receiving nursing home care
 Certain refugees, Asylees, Cuban/Haitian Entrants

Additional Information about Medi-Cal

Clients must meet certain eligibility criteria prior to being approved for Medi-Cal. We review the resources and income for all household applicants. Resources can include bank accounts, life insurance, burial funds, etc. For Medi-Cal purposes, a client’s home of residence and one vehicle is exempt. The resource limit for one person is $2000 and for two people is $3000*. The property limit is then increased for each additional dependent person living in the home.
*The resource level is significantly increased for persons entering Long Term Care (Nursing Home) who have a spouse still living at home. Contact County Medi-Cal staff for more information.
Once it is determined that an applicant is at or below the resource limit, their income is reviewed to see if they will receive Medi-Cal at no cost to them or if they will have a Share-of-Cost (deductible). The Share-of-Cost is a monthly amount that the recipient would be required to pay before Medi-Cal would pick up the remaining medical costs incurred in that month. If a client has no medical expense in the month, they pay nothing. As a client incurs medical expenses in the month, they pay the provider for the medical services received. Once they have met the Share-of-Cost in the month, the remaining costs for the services is paid by the State of California. 

Medi-Cal and Other Health Insurance including Medicare

 Medicare is the Federal Health Insurance Program, whereas Medi-Cal is the California Health Insurance Program. The two programs work together to cover the medical needs of those who are eligible. They both work in conjunction with other health insurance companies (such as Kaiser, Blue Cross, etc) to provide medical services to clients.

For more information on health insurance options, please contact the Health Insurance Counseling and Advocacy Program (HICAP) at 1-888-434-0222.

Applying for Medi-Cal

Applications may be picked up in person at the office or you may contact the office by phone. Applications may be returned at the office location or by mail. Medi-Cal applications are processed by mail, although applicants have the option to be interviewed directly.

What documents may I be asked to provide?

  • Alien registration card
  • Registration forms 
  • Current utility bills
  • Bank statements
  • Photo ID with address
  • Proof of address
  • Proof of assets
  • Proof of disability
  • Most recent pay stub for all household members
  • Proof of family size
  • Proof of household income
  • Proof of immigration status (I-94)
  • Proof of pregnancy
  • Rent receipts
  • Rental/lease agreement
  • Social Security card/number
  • Telephone number
  • Work history


CalFresh / Supplemental Nutrition Assistance / Food Benefits

This service of the Public Assistance Division provides aid in the form of food purchase cards for eligible families and individuals. Emergency services are available to qualified participants 

Who is eligible?

You must be able to meet State and Federal program rules for income, resources/property, residence, and legal status in order to qualify for our Food Benefits Program.

To receive and/or submit an application for Medi-Cal or CalFresh:

  • Visit the CSOA office at 900 Coombs St. Ste. 257, Napa, CA 94559
  • Contact CSOA by phone at 707-253-3818
  • Or go online to  
CSOA Home Icon

Comprehensive Services for Older Adults Home